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14D1098723 CLIA NUMBER - ELARA CARING V FIRST CARE HEALTHCARE, INC

Laboratory Demographics

CLIA Number: 14D1098723

Facility Name: ELARA CARING V FIRST CARE HEALTHCARE, INC

Facility Address:
3085 STEVENSON DR - STE 200
SPRINGFIELD, IL
ZIP 62704
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Facility Phone Number: 217 718-4889

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1780823377

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name Field Value
CLIA Number 14D1098723
LAB Type Home Health Agency
Facility Name ELARA CARING V FIRST CARE HEALTHCARE, INC
Street 3085 STEVENSON DR - STE 200
City SPRINGFIELD
State IL
ZIP 62704
Phone 217 718-4889
CertificateType 4
CertificateEffectiveDate 4/27/2023
CertificateExpirationDate 4/26/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024